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September 5, 2026

Role of Clinical Trials in Implementation Science and Organization Change: An Overview of Cluster, Stepped-Wedge, and Hybrid Effectiveness-Implementation Studies.

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Authors

KCKelly CoughlanOFOyebola FasugbaSDSimeon Dale

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Overview

Topical review examines trial designs for organizational practice change in stroke healthcare, highlighting methodological considerations to optimize real-world clinical translation.

Key Points

  • To evaluate trial designs used in implementation science—specifically cluster, stepped-wedge, and hybrid designs—and guide the selection of appropriate methodologies for organizational change in stroke care.
  • Reviewed core trial methodologies used to change organizational practice, specifically cluster randomized, stepped-wedge, and hybrid effectiveness-implementation designs.
  • Examined practical stroke healthcare case studies to evaluate design features, operational trade-offs, and real-world application.
  • Characterized the unique structural features, trade-offs, and methodological requirements of cluster, stepped-wedge, and hybrid trial designs in health systems.
  • Illustrated through stroke research case studies that tailored design selection effectively supports the uptake of evidence-based practices and establishes sustainable healthcare processes.

Cite This Study

Coughlan et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd48c6b95aff0620ec570https://doi.org/10.1161/strokeaha.125.052073
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Advancing Stroke Clinical Trials Using Community Engagement and Implementation Science Approaches2026
  2. 2Designing an implementation study: Rationale and considerations for design2026
  3. 3Bridging the research-to-practice gap: Implementation science approaches to transform health care delivery.2025 · 5 citations
  4. 4Implementation Science and the Clinical Trial Workforce: A National Needs Assessment of Training and Practice2026
  5. 5Using implementation science methods in critical care nursing – Part 3: Implementation strategy design2026